TENBC INC DBA TEN BROECK COMMONS WRAP BENEFIT PLAN
|
2018
|
201387604
|
2019-06-12
|
TENBC, INC
|
237
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2015-01-01
|
Business code |
623000
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
2701 DOELNER CIR, CASTLETON ON HUDSON, NY, 120339752
|
Plan sponsor’s
address |
1 COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-12 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-12 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TENBC INC DBA TEN BROECK COMMONS WRAP BENEFIT PLAN
|
2017
|
201387604
|
2018-05-21
|
TENBC, INC
|
263
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2015-01-01
|
Business code |
623000
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
1 COMMONS DR, LAKE KATRINE, NY, 124495149
|
Plan sponsor’s
address |
1 COMMONS DR, LAKE KATRINE, NY, 124495149
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-05-21 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-21 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TENBC INC DBA TEN BROECK COMMONS WRAP BENEFIT PLAN
|
2015
|
201387604
|
2016-07-07
|
TENBC, INC
|
256
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2015-01-01
|
Business code |
623000
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
1 COMMONS DR, LAKE KATRINE, NY, 124495149
|
Plan sponsor’s
address |
1 COMMONS DR, LAKE KATRINE, NY, 124495149
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-07 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TENBC INC DBA TEN BROECK COMMONS WRAP BENEFIT PLAN
|
2014
|
201387604
|
2015-07-30
|
TENBC INC.
|
256
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2014-01-01
|
Business code |
623000
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-30 |
Name of individual signing |
ANTHONY SCALERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEN BROECK COMMONS GUARDIAN
|
2013
|
201387604
|
2014-07-11
|
TENBC INC
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2000-11-01
|
Business code |
623000
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-11 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TENBC INC
|
2013
|
201387604
|
2014-07-11
|
TENBC INC
|
249
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2012-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453366666
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan administrator’s name and address
Administrator’s EIN |
201387604 |
Plan administrator’s name |
TENBC INC |
Plan administrator’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449 |
Administrator’s telephone number |
8453366666 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-11 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEN BROECK COMMONS GUARDIAN
|
2012
|
201387604
|
2013-07-19
|
TENBC INC
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2000-11-01
|
Business code |
623000
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Number of participants as of the end of the plan year
Active participants |
139 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEN BROECK COMMONS CDPHP
|
2012
|
201387604
|
2013-07-17
|
TENBC INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2012-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453366666
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEN BROECK COMMONS MVP HEALTHCARE
|
2011
|
201387604
|
2014-07-11
|
TENBC INC
|
274
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1995-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453366666
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan administrator’s name and address
Administrator’s EIN |
201387604 |
Plan administrator’s name |
TENBC INC |
Plan administrator’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449 |
Administrator’s telephone number |
8453366666 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-11 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEN BROECK COMMONS MVP HEALTHCARE
|
2011
|
201387604
|
2012-07-13
|
TENBC INC
|
274
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1995-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8453366666
|
Plan
sponsor’s DBA name |
TEN BROECK COMMONS
|
Plan sponsor’s mailing address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan sponsor’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449
|
Plan administrator’s name and address
Administrator’s EIN |
201387604 |
Plan administrator’s name |
TENBC INC |
Plan administrator’s
address |
ONE COMMONS DRIVE, LAKE KATRINE, NY, 12449 |
Administrator’s telephone number |
8453366666 |
Number of participants as of the end of the plan year
Active participants |
276 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-13 |
Name of individual signing |
ELAINE TROTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|